Individual
MS. DONNA EPLEY TRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
113 LIGHT KEEPERS WAY, KITTY HAWK, NC 27949
(252) 261-9727
Mailing address
PO BOX 888, KITTY HAWK, NC 27949-0888
(252) 261-9727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307R
BLUE CROSS AND BLUE SHIEL
NC
05
—
7411829
—
NC
Enumeration date
12/01/2006
Last updated
07/08/2007
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